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Tennessee Appointment of Health Care Agent

In Tennessee, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a appointment of health care agent. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In Tennessee, a appointment of health care agent generally must be either acknowledged before a notary public or signed by two witnesses (Tenn. Code Ann. 68-11-1803).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way Tennessee expects. Download the finished document in Word and PDF.

Create your Tennessee medical power of attorneyRead the full Medical Power of Attorney guide

Tennessee signing requirements

Tennessee appointment of health care agent signing requirements at a glance
NotarizationNotary or two witnesses (either satisfies the statute)
WitnessesTwo witnesses as the alternative to notarization
StatuteTenn. Code Ann. 68-11-1803

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current Tennessee requirement in the statute cited above (or with your state's self-help resources) before signing your appointment of health care agent.

How this template works in Tennessee

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the Tennessee requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for Tennessee

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states